Provider Demographics
NPI:1821268657
Name:PARKER, GERALD ZACHARY (DC)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:ZACHARY
Last Name:PARKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ZACK
Other - Middle Name:
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1934 CIVIC CIR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1812
Mailing Address - Country:US
Mailing Address - Phone:806-352-1500
Mailing Address - Fax:806-352-1506
Practice Address - Street 1:1934 CIVIC CIR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1812
Practice Address - Country:US
Practice Address - Phone:806-352-1500
Practice Address - Fax:806-352-1506
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10766111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor